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Individual

BRANDON STOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
204 W HILL BLVD, CHARLESTON, SC 29404-4704
(843) 963-6808
Mailing address
204 W HILL BLVD, CHARLESTON, SC 29404-4704
(843) 963-6808

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
02/02/2016
Last updated
02/02/2016
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